De Alarcon, Pedro A

De Alarcon, Pedro A is an individual health care provider with primary practice located at Children'S Hospital Of Illinois 530 Ne Glen Oak Ave , Peoria IL 61637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. De Alarcon, Pedro A can be contacted via phone (309) 655-4242.

Contact Information

Primary practice address
Children'S Hospital Of Illinois 530 Ne Glen Oak Ave Peoria IL 61637
Phone: (309) 655-4242
Fax: (309) 655-2565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 38265 Tennessee

Profile Details

NPI number 1841293032
LBN Legal business name De Alarcon, Pedro A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Aug 29th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841293032 NPPES
Maine MEDICAID 422400000
Maine MEDICAID 09852769
Maine MEDICAID 200113940A
Maine MEDICAID 64081607
Maine MEDICAID 200031030A
Maine MEDICAID 209161306
Maine MEDICAID 154138001
Maine MEDICAID 5440121
Maine MEDICAID 762912245A

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